Macko, Andrew

Macko, Andrew is an sole proprietor health care provider with primary practice located at 1150 New London Ave , Cranston RI 02920-3036. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Macko, Andrew can be contacted via phone (401) 270-3232.

Contact Information

Primary practice address
1150 New London Ave Cranston RI 02920-3036
Phone: (401) 270-3232
Fax: (401) 383-9480
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00295 Rhode Island

Profile Details

NPI number 1477520906
LBN Legal business name Macko, Andrew
Credentials PAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2006
Last updated Feb 19th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477520906 NPPES
Rhode Island MEDICAID 7010647
Rhode Island Other 9790039451

Popular Providers